Organization
F A MCGOWAN & R D LEE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. REGINALD DONALD LEE D. O. (PHYSICIAN)
(610) 586-1919
Entity
Organization
Contact information
Practice address
115 CLIFTON AVE, COLLINGDALE, PA 19023-3809
(610) 586-1919
(610) 586-6947
Mailing address
115 CLIFTON AVE, COLLINGDALE, PA 19023-3809
(610) 586-1919
(610) 586-6947
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS006159-L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0307511001
INDEPENDENCE BLUE CROSS
PA
01
—
098616
AETNA U S HEALTHCARE
PA
05
—
1141676
—
PA
01
—
D 19240
INTER-COUNTY HEALTH HOS
PA
Enumeration date
12/05/2006
Last updated
08/22/2020
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